<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <title>普惠电商后台系统</title>
    <link rel="stylesheet" href="css/models.css">
    <!--bootstrap-select  css文件-->
    <link rel="stylesheet" type="text/css" href="js/bootstrapselect/css/bootstrap.min.css"/>
    <link rel="stylesheet" type="text/css" href="js/bootstrapselect/css/bootstrap-select.css"/>
    <!--富文本  css文件-->
    <!--<link rel="stylesheet" href="css/ueditor.css">-->
</head>
<body>
<div class="MainBox agency_applicationMainbox">
    <!--头部-->
    <div class="mainTop">
        <div class="logo left">普惠电商后台系统</div>
    </div>
    <!--end 头部-->

    <!--主体内容-->
    <div class="mainContentBox agency_applicationbox">
        <div class="MainCont agency_applicationCont">
            <div class="ph_subConTit">
                <h2>添加代理</h2>
            </div>
            <div class="mainFrom">
                <label class="left">
                    <span class="require">*</span>
                    <span class="">代理级别:</span>
                </label>
                <select class="selectUp selectpicker" data-live-search="true">
                    <option value="">-请选择-</option>
                    <option value="">市级代理</option>
                    <option value="">县级代理</option>
                    <option value="">社区代理</option>
                </select>
            </div>
            <div class="mainFrom">
                <label class="left">
                    <span class="require">*</span>
                    <span class="">代理商名称:</span>
                </label>
                <input type="text" class="left" placeholder=""/>
            </div>
            <div class="mainFrom">
                <label class="left">
                    <span class="require">*</span>
                    <span class="">登录手机:</span>
                </label>
                <input type="text" class="left" placeholder=""/>
            </div>
            <div class="mainFrom">
                <label class="left">
                    <span class="require">*</span>
                    <span class="">管辖区域:</span>
                </label>
                <select class="selectUp selectpicker linkage" data-live-search="true">
                    <!--<option value="">全部</option>-->
                    <!--<option value="">平台</option>-->
                    <!--<option value="">市代</option>-->
                </select>
                <select class="selectUp selectpicker linkage" data-live-search="true">
                    <!--<option value="">全部</option>-->
                    <!--<option value="">平台</option>-->
                    <!--<option value="">市代</option>-->
                </select>
                <select class="selectUp selectpicker linkage" data-live-search="true">
                    <!--<option value="">全部</option>-->
                    <!--<option value="">平台</option>-->
                    <!--<option value="">市代</option>-->
                </select>
                <select class="selectUp selectpicker linkage" data-live-search="true">
                    <!--<option value="">全部</option>-->
                    <!--<option value="">平台</option>-->
                    <!--<option value="">市代</option>-->
                </select>
            </div>
            <div class="mainFrom">
                <label class="left">
                    <span class="require">*</span>
                    <span class="">联系人:</span>
                </label>
                <input type="text" class="left" placeholder=""/>
            </div>
            <div class="mainFrom">
                <label class="left">
                    <span class="require">*</span>
                    <span class="">联系地址:</span>
                </label>
                <select class="selectUp selectpicker linkage" data-live-search="true">
                    <!--<option value="">全部</option>-->
                    <!--<option value="">平台</option>-->
                    <!--<option value="">市代</option>-->
                </select>
                <select class="selectUp selectpicker linkage" data-live-search="true">
                    <!--<option value="">全部</option>-->
                    <!--<option value="">平台</option>-->
                    <!--<option value="">市代</option>-->
                </select>
                <select class="selectUp selectpicker linkage" data-live-search="true">
                    <!--<option value="">全部</option>-->
                    <!--<option value="">平台</option>-->
                    <!--<option value="">市代</option>-->
                </select>

            </div>
            <div class="mainFrom">
                <label class="left"></label>
                <input type="text" class="left" placeholder="填写详细地址"/>
            </div>
            <div class="mainFrom">
                <label class="left">
                    <span class="">推广师手机号:</span>
                </label>
                <input type="text" class="left" placeholder=""/>
            </div>
            <div class="mainFrom">
                <label class="left">
                    <span class="">推广师姓名:</span>
                </label>
                <input type="text" class="left" placeholder="自动获取推广师姓名" disabled/>
            </div>
            <div class="mainFrom imgupbox">
                <label class="left">
                    <span class="require">*</span>
                    <span class="">营业执照:</span>
                </label>
                <div class="content-box">

                    <div class="img-box agency_application">
                        <span class="imgup-notice">请上传您的营业执照，照片大小不超过10M.</span>
                        <div class="img-box full">
                            <section class=" img-section">
                                <div class="z_photo upimg-div">
                                    <section class="z_file left">
                                        <img src="images/add.png" class="add-img">
                                        <input type="file" name="file" id="file1" class="file" value=""
                                               accept="image/jpg,image/jpeg,image/png,image/bmp" multiple/>
                                    </section>
                                </div>
                            </section>
                        </div>
                    </div>
                </div>
            </div>
            <div class="mainFrom imgupbox">
                <label class="left">
                    <span class="require">*</span>
                    <span class="">法人身份证:</span>
                </label>
                <div class="content-box">
                    <div class="img-box agency_application">
                        <span class="imgup-notice">请上传您的身份证正反面，照片大小不超过10M.</span>
                        <div class="img-box full">
                            <section class=" img-section">
                                <div class="z_photo upimg-div">
                                    <section class="z_file left">
                                        <img src="images/add.png" class="add-img">
                                        <input type="file" name="file" id="file2" class="file" value=""
                                               accept="image/jpg,image/jpeg,image/png,image/bmp" multiple/>
                                    </section>
                                </div>
                            </section>
                        </div>
                    </div>
                </div>
            </div>
            <div class="mainFrom imgupbox">
                <label class="left">
                    <span class="">其他认证资料:</span>
                    <!--<span class="imgup_notice"></span>-->
                </label>
                <div class="content-box">
                    <div class="img-box agency_application">
                        <span style="display: block;height: 16px;width: 200px;"></span>
                        <div class="img-box full">
                            <section class=" img-section">
                                <div class="z_photo upimg-div">
                                    <section class="z_file left">
                                        <img src="images/add.png" class="add-img">
                                        <input type="file" name="file" id="file4" class="file" value=""
                                               accept="image/jpg,image/jpeg,image/png,image/bmp" multiple/>
                                    </section>
                                </div>
                            </section>
                        </div>
                    </div>
                </div>
            </div>
            <div class="mainFrom">
                <label class="yzmlabel left">
                    <span>验证码:</span>
                </label>
                <div class="yzmTxt">
                    <input class="proving" name="yzm" type="text" placeholder="请输入验证码">
                    <p class="provingImg provBtn"><input class="provingTxt realNameCode" type="button" value="获取验证码"></p>
                    <span class="loginErr"></span>
                </div>

            </div>
            <div class="PopupBtn btnLeft clearfix" style="height: 40px; margin-bottom: 10px;">
                <input class="summit agency_apply" name="" type="submit" value="申请" disabled>
            </div>
            <p class="ph_applyTxt">已有帐号，<a href="login.html">直接去登录</a></p>
            <p class="ph_applyTxt"><input class="agency_check" name="" type="checkbox" placeholder=""/>我已阅读并同意<a href="">《XXX条款》</a></p>
        </div>
    </div>

</div>
<script type="text/javascript" src="js/jquery-1.11.1.min.js"></script>
<script type="text/javascript" src="js/index.js"></script>
<!--图片上传插件-->
<script type="text/javascript" src="js/imgUp.js"></script>
<!--bootstrap-select-->
<script type="text/javascript" src="js/bootstrapselect/bootstrap.min.js"></script>
<script type="text/javascript" src="js/bootstrapselect/bootstrap-select.js"></script>
<script type="text/javascript" src="js/bootstrapselect/select.js"></script>
<!--属性输入框的增加和删除-->
<script type="text/javascript" src="js/attrbox.js"></script>

<script type="text/javascript" src="js/map_init.js"></script>
</body>
</html>